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New Mexico rates for HCPCS 94012

Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.92 / $112.92 / $112.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.92 / $143.11 / $166.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.91 / $157.91 / $157.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $211.24 / $272.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $211.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.57 / $147.57 / $208.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.33 / $233.88 / $362.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.36 / $214.71 / $290.50